Our Latest Thinking

We are constantly scanning the health care market for new and interesting developments; then we write about them here. Check out our latest thinking.

Medicare

Pathways to Success: Options for ACOs

January 10th, 2019

The “Pathways to Success: Options for ACOs” white paper reports on predictions of the options available to current Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) under the recently finalized Pathways to Success rule. Under the Pathways rule, ACOs will be designated either high or low revenue, based on claims data and practice revenues. […]

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Opportunities in an Evolving Market: 2019 Health Care & Life Sciences Investment Outlook

January 8th, 2019

The analysis of the 2019 KPMG/Leavitt Partners Health Care and Life Sciences Investment Survey sheds light on how key disruptors, prevailing market trends and evolving policies will impact the 2019 investment arena. We asked investment professionals to answer questions about several health care subsectors in which they have expertise. Upon examining the data, we divided […]

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Voluntary code of conduct developed by more than 60 industry stakeholders can help facilitate health data exchange with entities not covered by HIPAA

November 27th, 2018

The CARIN Alliance, a multi-sector group of health care and other stakeholders, has developed a voluntary code of conduct for entities not covered by HIPAA, such as third-party applications, when handling health care data accessed via application programming interfaces (APIs).

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Implications of the 2018 Midterm Elections

November 16th, 2018

Health care was a central issue in this year’s midterm elections. In the days after the election, many have speculated on what the results mean for U.S. health care policy. Since the Republicans maintained control of the Senate, while the Democrats took control of the House, some see the next two years as a time […]

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Paying for Poor Choices

October 23rd, 2018

Early this year former Treasury Secretary Larry Summers made a case for taxing sugary drinks and cigarettes to deter individuals from consuming products that lead to obesity and chronic disease. Taxing such products could gain importance as policy makers consider comprehensive coverage policies such as “Medicare for all.” The reason is based both on principle […]

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Health Affairs Releases “Half A Decade In, Medicare Accountable Care Organizations Are Generating Net Savings” A Two-Part Health Affairs Blog

September 21st, 2018

Washington, DC, September 21, 2018 – A Medicare program begun in 2012 to coordinate health care and be accountable for patients’ health saved Medicare $313 million in 2017, the first time the program generated net savings for the federal government, a two-part blog post released Thursday and Friday by Health Affairs reports. The post, by […]

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Do Proposed Quality Payment Program Changes Support Specialists?

August 20th, 2018

A RevCycleIntelligence article entitled “Do Proposed Quality Payment Program Changes Support Specialists?” references the Leavitt Partners “Medicare Alternative Payment Models: Not Every Provider Has a Path Forward” white paper. The article states, “Despite a handful of specialty-focused alternative payment models, Medicare still only offers models to a limited number of provider types, Leavitt Partners found […]

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A Uniquely American Health System

August 16th, 2018

As the United States continues to move toward a value-based health care system, significant challenges slow down our progress. Political pressure exists from all sides, incentives have yet to be appropriately aligned, and the pressing need to change stakeholder behavior remains a time-sensitive imperative. Solving these challenges requires going beyond admiring the challenges to implementing […]

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